Carmine De Angelis: Trop-2 Expression Limits in Breast Cancer ADCs
Carmine De Angelis/LinkedIn

Carmine De Angelis: Trop-2 Expression Limits in Breast Cancer ADCs

Carmine De Angelis, Associate Professor at Southern Higher School, Naples, shared on LinkedIn:

“As ADCs continue to transform the treatment landscape of metastatic breast cancer, understanding who benefits the most from these therapies is becoming increasingly important

Our latest publication in the Journal of the National Cancer Institut (Oxford University Press) addresses this question by investigating the relationship between Trop-2 expression and the efficacy of Trop-2-targeting ADCs.

In this systematic review and meta-analysis of randomized phase II–III trials, we found that:

  • Trop-2 ADCs significantly improve progression-free survival compared with chemotherapy.
  • The magnitude of benefit is consistently greater in Trop-2–high tumors.
  • In HR+/HER2− MBC, a significant benefit was observed only in patients with high Trop-2 expression.

These findings reinforce the need for standardized and clinically meaningful Trop-2 testing to better guide patient selection and optimize treatment decisions!

Special congratulations to Roberto Buonaiuto and Martina Pagliuca, who led this project with outstanding commitment, scientific rigor, and dedication. A special acknowledgment also to Evandro de Azambuja, co-senior author of the study, for his invaluable leadership and mentorship throughout this collaborative work.

Grateful to all co-authors and collaborators for making this study possible.”

Title: Impact of trop-2 expression on the efficacy of trop-2–targeted antibody–drug conjugates in metastatic breast cancer: a systematic review and meta-analysis

Authors: Roberto Buonaiuto, Martina Pagliuca, Alessandra Longobardi, Maria Letizia Cataldo, Luca Arecco, Riccardo Gerosa, Gabriella Gentile, Aldo Caltavituro, Ines Barone, Bengisu Karakose, Elisa Agostinetto, Christos Sotiriou, Michelino De Laurentiis, Evandro De Azambuja, Carmine De Angelis

Read the full article.

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Carmine De Angelis: Trop-2 Expression Limits in Breast Cancer ADCs